Understanding HIV care providers’ support for tobacco cessation among people living with HIV in Western Kenya: a formative qualitative study Article Swipe
Zachary Kwena
,
Elizabeth A. Bukusi
,
Linet Ongeri
,
Starley B. Shade
,
Maya Vijayaraghavan
,
Francesca Odhiambo
,
Cirilus O Ogala
,
Craig R. Cohen
,
Peter Magati
,
Yvonne A Olando
,
G Rota
,
Purba Chatterjee
,
Christine A Osula
,
Jerry John Nutor
,
Stella S Bialous
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1136/bmjph-2023-000776
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1136/bmjph-2023-000776
Introduction Healthcare providers are required to support people living with HIV (PLHIV) to quit tobacco use for improved health outcomes, but it is unclear to what extent they adhere to these requirements. We examined HIV care providers and PLHIV’s perceptions of support, and barriers, to providing tobacco cessation. Methods This qualitative investigation was part of a larger study seeking to integrate tobacco cessation into HIV care in Western Kenya ( NCT05351606 ). We conducted 22 key informant interviews with HIV care providers and managers and four focus group discussions (n=28) with PLHIV. The interviews and discussions were audio-recorded, and audio files were transcribed and, when necessary, translated into English for coding and analysis. Results PLHIV rarely disclose or are screened for tobacco use unless a complaint or clinical finding prompts a provider. Despite PLHIV wanting to receive support to quit tobacco use, they feared negative reactions from their providers if they disclosed their tobacco use status. Providers cited several system-related barriers to screening for and providing cessation support for PLHIV, including workload pressure, lack of job aids, tobacco use screening not included as a performance indicator and lack of adequate counselling skills to address tobacco use. Conclusions PLHIV are not routinely screened for tobacco use despite their knowledge of the negative impact of tobacco use on overall health outcomes and desire to quit. System-related barriers hinder providers from providing cessation support. Providers should be trained and equipped with additional skills and resources to integrate tobacco cessation support into routine HIV care.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/bmjph-2023-000776
- https://bmjpublichealth.bmj.com/content/2/1/e000776.full.pdf
- OA Status
- diamond
- References
- 51
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4400369636
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4400369636Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1136/bmjph-2023-000776Digital Object Identifier
- Title
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Understanding HIV care providers’ support for tobacco cessation among people living with HIV in Western Kenya: a formative qualitative studyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-07-01Full publication date if available
- Authors
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Zachary Kwena, Elizabeth A. Bukusi, Linet Ongeri, Starley B. Shade, Maya Vijayaraghavan, Francesca Odhiambo, Cirilus O Ogala, Craig R. Cohen, Peter Magati, Yvonne A Olando, G Rota, Purba Chatterjee, Christine A Osula, Jerry John Nutor, Stella S BialousList of authors in order
- Landing page
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https://doi.org/10.1136/bmjph-2023-000776Publisher landing page
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https://bmjpublichealth.bmj.com/content/2/1/e000776.full.pdfDirect link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://bmjpublichealth.bmj.com/content/2/1/e000776.full.pdfDirect OA link when available
- Concepts
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Focus group, Smoking cessation, Medicine, Qualitative research, Health care, Family medicine, Human immunodeficiency virus (HIV), Nursing, Business, Sociology, Economic growth, Pathology, Social science, Economics, MarketingTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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51Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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